Organization Active NPI

Suburban Sleep and Pulmonary Medicine, SC

  • Sleep Medicine (Internal Medicine) Physician
  • Joliet, IL
National Provider Identifier
1821373879
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
036104101 Issued in IL
Legal business name
SUBURBAN SLEEP AND PULMONARY MEDICINE, SC
Practice address
3077 W Jefferson St Ste 210
Joliet, IL 60435-5264
Phone
(815) 773-9090
Fax
(855) 709-5544
NPI assigned
Oct 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jonathan Warren, MDNPI 1871519124
Title
Owner
Phone
(815) 773-9090

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RS0012X 036104101 IL Primary

Addresses

Primary practice location

3077 W Jefferson St Ste 210
Joliet, IL 60435-5264

Mailing address

3077 W Jefferson St Ste 210
Joliet, IL 60435-5264
Phone (815) 773-9090

Other practice location 1

5999 New Wilke Rd Ste 107
Rolling Meadows, IL 60008-4501
Phone (847) 797-1933

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120604000508 IL Part B Supplier - Clinic/Group Practice 3375707334 Receives reassigned benefits from 1 practitioner
Practice locations: Joliet, IL; Rolling Meadows, IL

National Provider Directory

National Provider Directory

Locations

3421 N Arlington Heights Rd
Arlington Heights, IL 60004
Phone (847) 253-4003

2200 W Higgins Rd
Ste 110
Hoffman Estates, IL 60169
Phone (847) 797-1933

2201 Glenwood Ave
Ste LL5A
Joliet, IL 60435
Phone (815) 773-9090

2201 Glenwood Ave
Ste Ll
Joliet, IL 60435
Phone (815) 725-1191

5999 New Wilke Rd
Ste 107
Rolling Meadows, IL 60008
Phone (847) 797-1933

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1319068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1821373879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3077 W JEFFERSON ST STE 210",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604355264",
            "telephone_number": "815-773-9090",
            "fax_number": "815-773-9099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3077 W JEFFERSON ST STE 210",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604355264",
            "telephone_number": "815-773-9090",
            "fax_number": "855-709-5544"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5999 New Wilke Rd Ste 107",
            "address_purpose": "LOCATION",
            "city": "Rolling Meadows",
            "state": "IL",
            "postal_code": "600084501",
            "country_code": "US",
            "telephone_number": "847-797-1933",
            "fax_number": "855-709-5544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUBURBAN SLEEP AND PULMONARY MEDICINE, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-20",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-773-9090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "IL",
            "license": "036104101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.